Tiêu đề RECALLS 1 - NP4 - SC ✅

A. 1 and 2 B. 1, 2 and 3 C. 1,2,3 and 4 D. All except 2 29. While reviewing his records, you remember the procedure “transurethral resection of the prostate.” Which of the following is true about TURP? A. Uses scope into the ureter to excise prostatic tissue. B. Bleeding is common following TURP C. A and B D. None of the above 30. You understand that urinary tract infection can occur due to retention of urine in the bladder and subsequent backup or reflux into the ureters and kidneys. Thus, you plan to teach Gantt and his family signs and symptoms of urinary tract infection which include the following EXCEPT. A. Hematuria B. Cloudy urine C. Sweet smelling urine D. Fever Situation: Cyrin, a 50-year-old dressmaker, was diagnosed with myasthenia gravis. For two years, she has been on remission. She takes an anticholinesterase medication which is Pyridostigmine (Mestinon) 60 mg PO every 4 hours. During the past month, Cyrin decreased the dose of her medication without informing her physician because she was feeling so good. An hour ago, Mylene was admitted in the hospital for treatment for exacerbation of myasthenia gravis. Upon admission, she complains of severe weakness with problems in mobility. She is dyspneic, with difficulty to swallow and with ptosis of both eyes. 31. The nurse who admitted the client considers which of the following as a correct description of myasthenia gravis? Myasthenia gravis is_________? A. A degenerative neurologic disease with lower motor neuron involvement B. An autoimmune neuromuscular disorder C. An acute inflammatory demyelinating disorder of the peripheral nervous system D. A viral infection affecting the cranial nerves specifically the oculomotor nerve 32. Which of the following interventions will the nurse not implement for a patient with myasthenia gravis? A. Monitor respiratory status. B. Encourage client to sit up when eating. C. Plan short activities that coincide with times that the patient is awake. D. Administer anticholinesterase medications, as prescribed. 33. Which of the following will the nurse report as a manifestation of cholinergic crisis due to over dosage of Pyridostigmine (Mestinon)? A. Increase heart rate B. Diarrhea C. Decreased sweeting D. Dry mouth 34. Due to impaired swallowing, which of the following interventions will the nurse implemented to promote effectiveness of pyridostigmine (Mestinon)? A. Administer the drug 30 minutes before meals B. Allow patient to take the drug with a glass of fruit juice C. Have patient take the drug after meals D. Dissolve drug in a glass of water 35. Which of the following documentation of the nurse will provide information regarding the effectiveness of pyridostigmine (Mestinon)? A. Vital signs of the client before and after an activity B. Frequency of complaints of pain during movement C. Changes in abilities to comprehend D. Time when fatigue occurs in relation to activities Situation: Alexa, a 30-year-old computer engineer, went to the emergency department with complaints of gnawing pain and burning sensation in the midepigastrium. The physician’s initial diagnosis is peptic ulcer disease. 36. As a nurse, you know that there are few things that differentiate gastric ulcers from duodenal ulcers. Which among the choices correctly differentiates the two? A. Pain in gastric ulcer is aggravated by eating, while pain in duodenal ulcer is relieved by eating. B. Gastric ulcer is known as the executive ulcer. C. Pain in gastric ulcer usually radiates in the right side of the abdomen. D. Melena is more common in gastric ulcers. 37. Which among the following can detect H. pylori infection? 1. Biopsy 2. Stool antigen test 3. Urea breath test 4. Endoscopy A. 1 only B. 1 and 2 C. 1, 2 and 3 D. 1, 2, 3 and 4 38. Which among the following can detect H. pylori infection? 1. Biopsy 2. Stool antigen test 3. Urea breath test 4. Endoscopy A. 1 only B. 1 and 2 C. 1, 2 and 3 D. 1, 2, 3 and 4 39. Alexa tested positive for H. pylori infection. The physician prescribed Metronidazole. What is the most important health teaching that the nurse can provide Alexa? A. Administer with meals. B. Administer before meals. C. Avoid drinking alcohol. D. Drink an adequate amount of fluids to avoid constipation. 40. The most life-threatening complication of PUD is: A. Hemorrhage B. Severe weight loss C. Septic shock D. Heart attack Situation: Nurse Mina is assigned at the TB-DOTS Clinic of Comembo, Makati. A couple of patients went to the clinic one Friday morning. 41. How would Nurse Mina understand Patient Ara's statement "I experience numbness and tingling in my arms and legs" given that she has been taking Isoniazid (INH) for the past two months already? A. Raynaud’s disease B. Hypercalcemia C. Peripheral neuritis D. Impaired peripheral circulation 42. Nurse Mina should educate the patient who will be taking Isoniazid all of the following EXCEPT: A. Avoid taking alcohol. B. Report immediately to the physician any signs of jaundice C. Increase intake of Swiss cheese for good absorption of Isoniazid D. Increase intake of pyridoxine. 43. Nurse Mina should intervene when the student nurse tells the patient taking rifampin (Rifadin) that: A. It can cause orange discoloration of secretions B. Antacids can be taken at least 1 hour before medication, if prescribed. C. The medication can be administered on an empty stomach. D. The patient can double dose if one dose is forgotten. 44. Nurse Mina knows that all of the listed patients below, except for one, have characteristics that increase their risk of noncompliance with the TB medication regimen: A. Patient A, 25-year-old male, who is diagnosed with schizophrenia B. Patient B, 50-year-old female, a government employee C. Patient C, 44-year-old male, wheelchair-bound for three years after having both legs amputated 3 | Page